Women reproductive health problems are found all
over the world, particularly in developing countries. Individual is
the prisoner of society. Culture determines way of life and
interaction process in a group, which is known through cultural
norms and values. With the passage of time; the evolutionary process
in social system has been bringing about change in values regarding
women and their rights. As a result a lot of consideration is seen
for the protection of women rights. In this connection woman
reproductive health has been considered in a male dominant society
as most serious issue. The developing countries have also been
considering and paying attention to human reproductive rights within
socio economic and cultural frame work.

The study focuses on the facilities in Pakistani
society. This research study conducted to asses the women
reproductive health problem in N.W.F.P. (Pakistan). The overall
objectives of the study was to diagnose the effects and changes in
behavior pattern of society concerning, demographic, social,
cultural, religious and economic aspects of women living in
different classes in urban area of, Peshawar and Kohat. The study
focuses on social, economic and cultural consideration for the
benefit of women's reproductive health. The study universe consists
of urban Peshawar and Kohat, which is the true representative of two
geographical regions; separated by a range of mountains of Tribal
Belt of Dara Adam Khel of the province of N.W.F.P. A sample of 720
women respondent of three strata, i.e. lower, middle and upper class
women with at least one living child or life birth were interviewed
and sampling procedure was taken through stratified random sampling-
both the quantitative (second resource as well as field survey) and
qualitative (focus group's interviews) studies were conducted with
the aim to produce valid results.

The uni-variate, bi-variate and multivariate of quantitative and
qualitative data provides evidences that the study provide evidences
that educated spouse lead a healthy and prosperous life in
community, leading towards significant reduction in child and
maternal mortality in both districts of study in NWFP. The single
most important variable in the discussion will be that education of
females has to be made an area of priority by the policy makers, and
then the society could get rid of many reproductive health problems.
The most remarkable and significant aspect is keeping control at
family size with use of contraception and that is possible with
health education.

The evidence from the study supports the idea
that development in family income and better occupation is the
pre-condition for reproductive health. The data analysis clearly
demonstrates that women's education and cultural tradition in terms
of women's restricted
participation in family and non-family matters, religiosity, family
values, obligations and husband domination exert an important
influence on fertility and contraceptive behavior. It also emerged
from the study findings that culture maintains its influence in
explaining
reproductive behavior and small family size independent of economic
development.

The type of family and socio economics status
with cultural background in women with reproductive age in community
and their impact on reproductive health as well as family size
and use or not use of contraceptive is important social and cultural
factors of any society and the response of respondent about use or
non use of contraceptive is also important. The data in study showed
that preferences of male child over female child, i.e. norms of sex
preferences have been changing with the literacy and education in
females. The changing status of women has dominant affect on the
health of women. The changing norms of family setup were evident in
the study. The study showed the high tendency regarding norms of
communication between spouses. The important aspect and issue in the
study was the improvement in status and participation by female in
decision making in home affairs; but the male domination in lower
class may lead towards many negative aspects of complete
participation of women in participation in decision making process.
These descriptions are shown in different tables in the chapter.
Specially, those respondents, who belong to joint and extended
families, reflected that respondents who belong to nuclear had the
more chances of many/low children as compared to joint family
system.